A case of multitrauma with vena cava inferior isthmus injury
Öz
Abstract:
Introduction: Large vessel and cardiac injuries may also be seen in high-energy blunt traumas such as traffic accidents. This report describes a multitrauma patient with vena cava isthmus inferior injury brought to the emergency department following high-energy blunt trauma.
Case: A 33-year-old woman was brought to the emergency department following an in-vehicle traffic accident. On arrival, her general condition was poor, and she was unconscious and hemodynamically unstable. Physical examination revealed that the left hemithorax was enlarged compared to the right, was distorted, and did not contribute equally to respiration. Injury to the isthmus of the vena cava inferior and bleeding in the pericardial cavity were observed in addition to abdominal injury symptoms at thoracoabdominal computerized tomography. The patient was taken for abdominal surgery. After surgical intervention, she was transferred to the intensive care unit.
Conclusion: It should not be forgotten that major vascular and cardiac injuries such as vena cava inferior isthmus injury may also accompany other systemic injuries in patients subjected to high-energy trauma.
Anahtar Kelimeler
Kaynakça
- Referans1.Büyük Y, Üzün İ, Erkol Z, Ağrıtmış H, Üstündağ KT. Air bag-mediated fatal craniocervical trauma: a case report. Ulus Travma Acil Cerrahi Derg 2010; 16: 379-81.
- Referans2. Sümer N. Trafik kazalarında sosyal psikolojik etmenler: Sürücü davranışları, becerileri ve sosyal politik çevre. Türk psikoloji yazıları, Ankara 2002; 5(9-10); 1-14.
- Referans3. Alaçayır İ, Köksoy C. Periferik DamarYaralanmaları. Ertekin C, Taviloğlu K, Güloğlu R, Kurtoğlu M editors. Travma Kitabı. İstanbul, 2005. p.1197-213.
- Referans4. Velmahos GC, Karaiskakis M, Salim A, Toutouzas KG, Murray J, Asensio J, et al. Normal electrocardiography and serum troponin I levels preclude the presence of clinically significant blunt cardiac injury. J Trauma 2003; 54: 45-50.
- Referans5. Lam Bk, Pettersson GB, Vogt DP. Urgent inferior vena cava replacement with an autologous pericardium tube graft. J Thorac Cardiovasc Surg 2003; 126: 2101-3.
- Referans6. Gloviczki P, Pairolero PC, Toomey BJ, Bower TC, Rooke TW, Stanson AW, et al. Reconstruction of large veins for nonmalignant venous occlusive disease. J Vasc Surg 1992;16: 750-61.
- Referans7. İnan B, Aydın Ü, Erkalp K, Yaşar T, Başel H. Vena cava inferior yaralanmalarında cerrahi yaklaşım. Türk Göğüs Kalp Damar Cer Derg 2011; 19: 366-70.
- Referans8. Özbudak E, Arıkan AA, Yavuz S. Toraks travmalarında vasküler yaralanmalara genel bakış. Yücel O, editör. Toraks Travmaları ve Tedavisi. Ankara, 2013. p.186-203.
Ayrıntılar
Birincil Dil
İngilizce
Konular
Klinik Tıp Bilimleri
Bölüm
Olgu Sunumu
Yazarlar
Selman Yeniocak
*
0000-0002-1124-396X
Türkiye
Sunay Yıldırım
0000-0003-1268-7113
Türkiye
Adem Az
0000-0002-7204-6185
Türkiye
Ahmet Demirel
0000-0002-7905-5850
Türkiye
Özlem Uzun
Bu kişi benim
0000-0002-9875-0605
Türkiye
Yayımlanma Tarihi
1 Ekim 2019
Gönderilme Tarihi
23 Ocak 2019
Kabul Tarihi
20 Kasım 2019
Yayımlandığı Sayı
Yıl 2019 Cilt: 10 Sayı: 4
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